The relative contribution of war experiences and exile-related stressors to levels of psychological distress among Bosnian refugees

J Trauma Stress. 2002 Oct;15(5):377-87. doi: 10.1023/A:1020181124118.

Abstract

This study examined the relative contribution of 2 exile-related variables--social isolation and daily activity level--and war experiences of violence and loss, to levels of PTSD and depressive symptomatology in 2 groups of Bosnian refugees, 1 clinical group (N = 59) and the other a nonclinical community (N = 40) group. As hypothesized, exposure to war-related violence was highly predictive of PTSD symptoms in both groups; in addition, social isolation was significantly related to PTSD symptomatology in the community group. In contrast, depressive symptomatology was accounted for primarily by the exile-related stressors. For the clinical group, depressive symptoms were also accounted for by experiences of war-related loss. The implications of these findings for mental health interventions with refugees are considered.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Bosnia and Herzegovina / ethnology
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Refugees / psychology*
  • Social Isolation
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / psychology*
  • Surveys and Questionnaires
  • United States / epidemiology
  • Warfare*